Individual provider Active NPI

David Ashley Swearingen, OD

  • Optometrist
  • San Dimas, CA
National Provider Identifier
1912964834
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT11528T Issued in CA
Practice address
425 W Bonita Ave
Suite 110B
San Dimas, CA 91773-2541
Phone
(909) 394-0462
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT11528T CA Primary

Addresses

Primary practice location

425 W Bonita Ave
Suite 110B
San Dimas, CA 91773-2541

Mailing address

425 W Bonita Ave
Suite 110B
San Dimas, CA 91773-2541
Phone (909) 394-0462

Other identifiers 5

IdentifierTypeStateIssuer
410044203OtherCARR WITH PHYSICIANS NET.
SD0115280MedicaidCA
OPT-2138OtherCOCOLORADO OPT LICENSE
P00115241OtherCAPALMETTO GBA
OPT11528TOtherCACA OPTOMETRY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928001231 CA Practitioner - Optometry 8820023856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Eyecare Optometry IncGroup PAC ID 5193821353, 8 clinicians

Practice addresses (Care Compare)

425 W Bonita Ave
Suite 110B
San Dimas, CA 91773-2541
Phone (909) 394-0462

Merit-based Incentive Payment System (MIPS)

Final score
71.43 of 100Reported as individual
Quality
22.86
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT11528TCAMDOptometrist
11528CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpmotikonrca LLC CurrentSince Mar 30, 2016 Accepting new patients
Spectrum Eyecare Optometry Inc Optometrist CurrentSince Nov 4, 2006 Accepting new patients
Craig Anthony Lenz Past Accepting new patients
Physicians Network Services Medical Group Optometrist Past Accepting new patients

Locations

425 W Bonita Ave
Ste 110B
San Dimas, CA 91773
Phone (909) 394-0462

1335 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (562) 867-0811

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1912964834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE",
            "address_2": "SUITE 110B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732541",
            "telephone_number": "909-394-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE",
            "address_2": "SUITE 110B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732541",
            "telephone_number": "909-394-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEARINGEN",
        "first_name": "DAVID",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11528T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR WITH PHYSICIANS NET.",
            "identifier": "410044203",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0115280",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO OPT LICENSE",
            "identifier": "OPT-2138",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00115241",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA OPTOMETRY LICENSE",
            "identifier": "OPT11528T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.